Individual
MR. DESMOND E KIMBROUGH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3006 EMBER DR APT 107B, DECATUR, GA 30034-1529
(330) 398-9689
Mailing address
3006 EMBER DR APT 107B, DECATUR, GA 30034-1529
(330) 398-9689
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/15/2023
Last updated
11/18/2023
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